WTC building inspection form, 50 Broadway

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: p 0 ot P a Block: Residential 0 Commerciai Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: f' ' ` < ( '%' ` Telephone Number: Building Owner Management Activiti Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No No Visible/Fine Layer ❑%to 1' 0>1 1. South ❑ N/A es ❑ No No Visible/Fine Layer D%to1' >1 '

East ❑ N/A &Yes Q No '2 No Visible/Fine Layer ❑%to1' 0>1 0 West ❑ N/A , ?es ❑ No [9No Visible/Fine Layer ❑ '/2 to 1" 0>10 Facade Description:

Roof

Debris: Visible /Fine Layer ❑ % to 1' ` ❑ > 1' Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1' ❑ > 1' Floor: Debris: ❑ No Visible/Fine Layer ❑'A to 1' ❑ > 1' Floor: Debris: ❑ No Visible/Fine aye ❑'/:to 1' ❑ > 1' Floor. Debris: No Visible ' e Lhy r ❑ %2 to 1' >

Comments

Date: Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000118190